Blindness due to blood vessels being compressed by tumors around optical chiasma has rarely been reported in the literature. We hereby report a rare circumstance where visual impairment occurred in a patient diagnosed with tuberculum sellae meningioma caused by optic nerve compression from the anterior cerebral artery. In this manuscript, we discuss the perioperative tests, intraoperative considerations, and anesthetic practices, all of which work in cohesion to achieve the best possible outcome for the patient. The learning impetus of this case report is to promote this knowledge in regular clinical practice in order to prevent vision loss at the earliest possible time by evaluating the optical pathway clinically and radiographically.